No. of corresponding Entry on Register Book of Deaths to be interred here by the Registrar: 12784
Full Name of Deceased, Jeremiah Hearlihey
Age, 22 years Color (race, if other than the white) 517634
Birthplace Mass. U.S.
How long Resident in this City, 2 months
Father's Name and Birthplace__________
(State or Country) Ireland
Mother's Name and Birthplace, Ellen Hearlihey DO
Place of Death 1391 2nd Avenue, 19th Ward.
If a dwelling, how many families, living separately, occupied, 11 Floor 2
" I Hereby Certify, that I attended deceased from three mos, that I last saw him on the 20 day of Jan 1885, that he died on the 4 day of Feb 1885, about 2 o'clock P.M., and that, to the best of my knowledge and belief, the cause of death was as hereunder written: Chief and Determining: Consumption of Lungs 4 ½ years
Witness my hand this 5 day of February 1885, (Signature) J. Ruske M.D. Office 302 E Broadway." Place of Burial, Calvary, Date of Burial Feb 7, 1885. Udertaker: illegible 1058-3rd.
